Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,706.47 / $1,706.47 / $2,943.77	Facility		$1,706.47	$1,706.47	$2,943.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.56 / $1,706.47 / $1,706.47	Professional		$828.56	$1,706.47	$1,706.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.39 / $2,890.81 / $3,560.11	Facility		$1,775.39	$2,890.81	$3,560.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,110.83 / $1,461.63 / $1,461.63	Professional		$1,110.83	$1,461.63	$1,461.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,205.50 / $1,212.63 / $1,212.63	Facility		$1,205.50	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,212.63 / $2,173.13	Professional		$885.22	$1,212.63	$2,173.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $554.10 / $1,706.47 / $2,218.41	Facility		$554.10	$1,706.47	$2,218.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.00 / $1,096.00 / $1,325.08	Professional		$1,096.00	$1,096.00	$1,325.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,064.50 / $2,064.50 / $3,174.30	Professional		$2,064.50	$2,064.50	$3,174.30
United Facility/Professional Professional Modifier Low / Median / High Price $710.39 / $963.58 / $1,525.30	Professional		$710.39	$963.58	$1,525.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,271.89 / $10,896.03 / $10,896.03	Facility		$4,271.89	$10,896.03	$10,896.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,828.86 / $13,828.86 / $13,828.86	Professional		$13,828.86	$13,828.86	$13,828.86